Does a failed exercise stress test mean that I need an angiogram and angioplasty?

Doctor's Answer

It depends on what you mean by a “failed “exercise test.

When cardiologists report an exercise test, we usually look at many factors such as:

  1. Does your heart rate and blood pressure go up appropriately with exercise
  2. How far you are able to exercise (time and distance)
  3. What symptoms you get during the exercise and
  4. If there are any ECG changes during the treadmill test

A change in any of these factors will be classed as a “positive” test through there are formal scores such as “Duke Treadmill Score” which is a weighted index and helps to predict the risk of ischemic heart disease (ie coronary disease or blockages in heart blood vessels).

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